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Interventionsmanual Depressive Störungen

Interventionsmanual Chronische Rückenschmerzen

 

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Dr. Manuela Glattacker
Abteilung Qualitätsmanagement und Sozialmedizin

Universitätsklinikum Freiburg

Engelbergerstraße 21

79106 Freiburg

Tel.: 0761 / 270 36940

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Individualized patient information following patient’s illness beliefs and treatment beliefs in the context of rehabilitation 

Patients are frequently dissatisfied with “standard information” about disease and treatment. The aim of the project was therefore to develop and evaluate a theory-based intervention by means of which information is tailored to the individual needs of the patients through a targeted link to the patients’ beliefs regarding illness and treatment. In the medium term, the aim is to achieve, through a better fit between the imparted information and the patients’ subjective need for information, an improved rehabilitation outcome. The investigation of this research question in a total of N=414 rehabilitees showed that the intervention in the diagnostic group chronic back pain is effective particularly with regard to so-called “proximal” outcome parameters, i.e. those that relate to the intervention. For instance, in the course of the rehabilitation, patients showed a clearer gain in the personal ability to control the back pain. Furthermore, they evaluated the information on disease and rehabilitation imparted during the rehabilitation as fitting their needs to a clearly greater extent. In the diagnostic group depressive disorders, the effectiveness of the intervention could not be reliably proven. In line with hypotheses are merely the findings that the information on medication imparted during the rehabilitation corresponded to the patients’ needs to a greater extent in the intervention group and that the patients in the intervention group subjectively showed a stronger degree of active information seeking behaviour. On the part of the treatment providers, the intervention was met with approval. Future research questions relate to how the effect of the intervention can be increased in particular through developments pertaining to theory with respect to so-called distal parameters, i.e. parameters that are less closely related to the intervention.

 

The following publications on the project are available:

 

Project results have been reported at the following conferences:




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